Which of the following should a medical assistant note in a patient's electronic health record?
The patient reports the receptionist was rude to them.
The patient states that there is an error on their bill.
The patient states their insurance might be changing soon.
The patient reports they recently developed a strawberry allergy.
The Correct Answer is D
A. The patient reports the receptionist was rude to them. This is not relevant to the patient’s medical care and should not be documented in the health record.
B. The patient states that there is an error on their bill. Billing issues are not related to the clinical care of the patient and should not be documented in the health record.
C. The patient states their insurance might be changing soon. This is administrative information and does not pertain to the clinical aspect of the patient’s care.
D. The patient reports they recently developed a strawberry allergy. This is relevant medical information that could affect the patient’s treatment and should be documented in the health record.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Colonoscopy: A colonoscopy is an invasive procedure that requires written informed consent due to the associated risks and the need for detailed patient understanding.
B. Dilation and curettage: Dilation and curettage (D&C) is an invasive procedure requiring written informed consent, including an explanation of risks, benefits, and alternatives.
C. Venipuncture: For venipuncture, verbal consent is generally sufficient, as it is a minor procedure with minimal risk.
D. Cardiac stress test: A cardiac stress test, while less invasive, typically requires written informed consent due to potential risks and the need for patient understanding.
Correct Answer is A
Explanation
A. The total amount of payments received matches the day's deposit.: To ensure the day's receipts are balanced, the total amount of payments collected should match the total amount deposited into the bank.
B. All transactions have been written on the day sheet. While documenting transactions on the day sheet is important, it alone does not confirm if the receipts are balanced without verifying the total amounts.
C. The check register has been verified. The check register should be verified as part of the process, but it alone does not confirm if the receipts are balanced without matching the deposit total.
D. The ledger cards have been zeroed out. Zeroing out ledger cards is part of account management but does not specifically confirm if the day's receipts match the deposit.
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